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Borderland Registration

Registration Fee: $8 per person                      
Deadline: May 27, 2005

No Walk Ons!!

Please Make Checks out to: Matt Burbank

Send To: 
Matt Burbank
190 Maquan St
Hanson, Ma 02341

“On-line Registration Instructions”

Fill out the form below with unit information and list of names of those attending.

( If participant is 12 or under – list age)

When form is complete – click on “Submit Form” at the bottom of your screen

You will receive a “Form Confirmation” – Print Confirmation and send with required registration fee.


 

Unit or Participant:
Confederate Union
Type of Unit: Infantry Artillery Cavalry MedicalCivilian Other [i.e.sutler] 
Affiliation:
[i.e. New England Brigade, Liberty Grey's, USV]
Unit Contact:
Rank:
E-mail
Street Address
City
State
Zip Code
Phone
Civilian Coordinator:

Participants attending:

Number of Troops
  Number of Civilians: 
Number of Children:
Under the Age of 12

Tentage:

Cook Tent
Wall
A Frames
Dog Tent

Artillery Units: 

Artillery Type:
# of Cannons 
# of limbers

Artillery must show cannon license.
*5 free men per unit (Artillery only) 
Please register them and mark free on the form.
Limit one gun per unit!


Calvary Units:  
# of Horses
Proof of negative Coggins test required upon arrival at site.

Roster of soldier and civilians attending event:
[Please include rank or civilian impression]
Box scrolls down as you type